Fe:S cluster ligands are the only cysteines required for nitrogenase Fe-protein activities

Serine substitutions for the five conserved cysteins (residues 38, 85, 97, 132, and 184) have been made in the Azotobacter vinelandii nitrogenase Fe-protein by site-specific mutagenesis. At least moderate levels of enzyme activity (greater than 10% of wild type enzyme) were found for enzymes with serine substitutions at residues 38, 85, and 184; whereas, no activity was detected for enzymes with serines at residues 97 and 132. This is consistent with cysteines 97 and 132 being the four ligands to the Fe:S cluster (two ligands from each of the two identical subunits). Although previous chemical modification studies had implicated these residues as ligands, the earlier results did not portend the new finding that of all the conserved cysteines only these 2 residues are required for a second function of the Fe-protein. Namely, if either cysteine 97 or 132 is replaced, it appears that a functional Fe:S cluster cannot be incorporated into the apo-Fe-protein. The consequence is that these altered Fe-proteins cannot participate either in substrate reduction or in the biosynthesis of FeMo-cofactor, a metallocofactor of the MoFe-protein. These results implicate the Fe:S center of Fe-protein in the biosynthesis mechanism as either a redox partner or Fe:S donor. Additional results suggest that the posttranslational modification of Fe-protein by nifM product is not the insertion of the Fe:S center.

A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease

The purpose of the study was to devise a method of stratifying open-heart operations into levels of predicted operative mortality, using objective data that are readily available in any hospital. Following univariate regression analysis of 3,500 consecutive operations, 14 risk factors were chosen that met these conditions. A few factors were excluded because they were insufficiently objective or not always available. An additive model was constructed, using the factors chosen, to calculate the probability of mortality within 30 days. The method was then tested prospectively in 1,332 open-heart procedures at the Newark Beth Israel Medical Center. Patients were categorized in five groups of increasing risk: good (0-4%), fair (5-9%), poor (10-14%), high (15-19%), and extremely high (greater than or equal to 20%). The correlation coefficient of anticipated and observed operative mortality, using the additive model, was 0.99. The operative mortality also correlated closely with complication rates and length of hospital stay. The additive model was compared with a second model based on logistic multiple regression; the resulting correlation coefficient was 0.85. The method was also tested at two other hospitals; although their sample sizes were smaller, the outcomes in each risk group were comparable with those at this institution. The collection of data proved to be acceptably simple for all three centers. This study demonstrates that it is possible to design a simple method of risk stratification of open-heart surgery patients that makes it feasible to analyze operative results by risk groups and to compare results in similar groups between institutions. Wider application of the system is recommended.

The National Breast Screening Study: pre-recruitment sources of awareness in participants

Data collected by questionnaire from 89,835 women on entry into 15 Canadian National Breast Screening Study (NBSS) centres reveal pre-recruitment sources of awareness: radio and television were reported by 30%; workplace 6%; friends 35%; physician 6%; and other by 23% of respondents. Personalized letters of invitation employed in 5 centres were an important source of awareness. In the age group recruited, 40-59 years, age had no influence on the source reported. However women with post-secondary school education were less likely to report radio and television as a source and more likely to report newspapers compared to women with less education. Women with only public school education were less likely to report the workplace as a source of awareness than women with post-secondary education. Recruitment strategies for screening programs may be more successful if publicity on radio and television is geared to women of lower educational status and if publicity in newspapers is geared to women of higher educational status, supplementing both with personalized letters of invitation.

Use of a Chlamydia trachomatis DNA probe for detection of ocular chlamydiae

We examined the efficacy of a Chlamydia trachomatis DNA probe in detecting ocular chlamydiae by comparing it with tissue culture isolation, direct fluorescent-antibody cytology, and clinical eye exams. In a trachoma-endemic area of Nepal, 430 Nepalese villagers were examined according to the World Health Organization trachoma grading scale. Upper tarsal conjunctival specimens from each subject were obtained for DNA probing, tissue culture, and fluorescent-antibody screening. Moderate to severe intensity of inflammation was found in 85 (21%) of 430 people studied. An additional 25 (7.2%) of 345 people with low or no intensity of inflammation also had microbiologically proven infection, which may reflect asymptomatic carriage. Compared with culture, the DNA probe had a sensitivity of 86.9% and a specificity of 91%. For direct fluorescent antibody versus culture, the values were 47.8 and 96.9%, respectively. Results from this study indicate that the DNA probe for C. trachomatis might be considered a valuable epidemiologic tool in screening trachoma-endemic populations for ocular chlamydiae.

Improved sensitivity of a modified polymerase chain reaction amplified DNA probe in comparison with serial tissue culture passage for detection of Chlamydia trachomatis in conjunctival specimens from nepal

A sensitive means for detecting ocular chlamydial infections is needed to accurately define the epidemiology of trachoma. Tissue culture is considered the "gold standard," yet it is less than 50% sensitive for ocular specimens. The purpose of this study was to improve the detection rate of culture by serial passage and thereby provide a more reliable basis for comparing polymerase chain reaction (PCR) amplified and 32P DNA probes and direct fluorescent antibody (DFA) tests with culture. Ocular exams on 1043 individuals were scored for trachoma; 252 (24%) had moderate/severe intensity. A total of 1214 conjunctival samples were collected and passaged twice. Of 1053 samples, 276 negative at second passage were passaged an additional two times. The vast majority (93%) of all culture-positive samples were recovered by first passage. Only 80 of 252 cases (32%) with moderate/severe intensity were diagnosed by culture. The sensitivity of the 32P and PCR probes were 87% and 90%, respectively. For DFA versus culture, the sensitivity rate was 48%. Our results indicate that true rates of infection can not be accurately determined by culture even with serial passage. The sensitivity of the probes and DFA tests may, therefore, be higher. The PCR probe holds promise as an epidemiologic tool for studying chlamydial ocular infections.

Oxygen consumption and feeding rates of the sabellid polychaete, Myxicola infundibulum (Renier)

1. Rates of respiration and feeding were measured for the sabellid polychaete, Myxicola infundibulum. 2. Basal rates of respiration were 1.5 times lower than routine rates. 3. Clearance and irrigation rates were independent of cell type when the worms were fed on monocultures of algae; however, preferential selection was seen when the algal species were offered simultaneously. 4. Calculations indicate that this species can meet its energetic needs at rather low cell densities. 5. It is suggested that these low energy requirements, coupled with the capacity for high pumping/clearing rates may be of adaptive significance in reducing competition for food resources.

Long-term survival of patients with low ejection fraction: surgical versus medical management

From May 1974 to December 1982, 3,592 patients underwent cardiac catheterization at the Buffalo Veterans' Administration Medical Center. Three hundred sixty-three patients (10.2%) presented with ejection fractions (EFs) < 40%. Of these, 194 had significant coronary artery disease. Follow-up data for retrospective analysis of survival rates were available for 173 of the 194 patients. Fifty-eight of these 173 had undergone coronary artery bypass surgery, while the remaining 115 had received medical treatment. The cumulative survival rates at 8 years for patients with EFs < 25% reveal a significantly better survival rate (61% vs. 29%, p <.03) for surgically treated patients. We conclude that coronary artery bypass surgery yields higher 8-year survival rates than does medical treatment for patients with compromised left ventricular function and significantly low EFs (< 25%).

Comparative organization of nitrogen fixation-specific genes from Azotobacter vinelandii and Klebsiella pneumoniae: DNA sequence of the nifUSV genes

In the facultative anaerobe Klebsiella pneumoniae 17 nitrogen fixation-specific genes (nif genes) have been identified. Homologs to 12 of these genes have now been isolated from the aerobic diazotroph Azotobacter vinelandii. Comparative studies have indicated that these diverse microorganisms share striking similarities in the genetic organization of their nif genes and in the primary structure of their individual nif gene products. In this study the complete nucleotide sequence of the nifUSV gene clusters from both K. pneumoniae and A. vinelandii were determined. These genes are identically organized on their respective genomes, and the individual genes and their products exhibit a high degree of interspecies sequence homology.

Stress test evaluation of patients with poor left ventricular function before and after coronary artery bypass surgery

Between May 1976 and December 1982 (104 months), 152 patients from a total of 3592 patients who had coronary angiography at the Buffalo Veterans Administration Medical Center had coronary artery disease with left ventricular ejection fractions of 40% or below. Sixty-three patients in this group had coronary bypass surgery. Thirty patients who had graded exercise tests done before and after surgery improved in their peak exercise double product and systolic blood pressure (p value <.05) accompanied by increased work capacity (p value < 0.02). Nineteen patients who had identical exercise protocols also showed increases in exercise time (p value <.05). We believe that coronary artery bypass surgery improves exercise capacity in selected patients with compromised left ventricular function.

Aleurain: a barley thiol protease closely related to mammalian cathepsin H

We have isolated and sequenced a 1400-base-pair cDNA derived from gibberellic acid-treated aleurone cell mRNA. This sequence contains an open reading frame that would code for a protein of 361 amino acids. The carboxyl-terminal two-thirds of the predicted amino acid sequence is closely related to that of the rat lysosomal thiol protease cathepsin H; the initial 143 amino acids may code for a secretory peptide plus a prosegment. The expression of this aleurone thiol protease mRNA is unusual in that, in aleurone cells, its abundance is regulated by the plant hormones gibberellic acid and abscisic acid, but it is also expressed at high levels in leaf and root tissue. This protease may represent the equivalent of a plant lysosomal thiol protease.

Restoration of functional continuity in dystrophic murine muscle after crushing

The recovery of functional continuity after crush injury was measured by a simple electrophsiological technique in semitendinosus muscles of normal and dystrophic mice of the C57BL/6J(dy2Jdy2J) strain. In contrast to virtually complete restitution in normal muscles, only one-third of fibers regained continuity in dystrophic muscles. The study also confirmed the lower resting membrane potentials of dystrophic fibers and the presence of "functional" denervation in some of them.

Infantile centronuclear myopathy. Evidence suggesting incomplete innervation

A male case of centronuclear myopathy is reported, with severe weakness at birth and death at 7 weeks. In all the muscles studied the fibres, despite their immature appearances, showed normal histochemical differentiation into type I and type II moieties. In contrast to the extrafusal fibres, the intrafusal fibres seemed to be normal in their development. Although the small centrally-nucleated muscle fibres were equipped with motor end-plates, the EMG revealed profuse fibrillation activity. The conflicting findings are postulated to arise from the presence of inexcitable neuromuscular junctions which nevertheless permitted a neurotrophic influence to be exerted on the muscle fibres.

Successful treatment of herpes labialis with topical acyclovir

A double blind, placebo controlled trial of 5% acyclovir cream, applied topically five times a day for five days, was carried out in 49 patients with recurrent herpes labialis. These patients had a total of 74 episodes, 34 of which were treated with the 5% acyclovir cream and 40 with matching placebo. First episodes and all episodes treated with acyclovir cream had significantly shorter times to formation of ulcer or crust and to complete healing (p less than 0.05 for all variables). The duration of all symptoms and proportion of patients developing itching was also reduced by acyclovir cream in first episodes, though the difference was not significant. When the patient started treatment early in the course of a first episode acyclovir cream significantly reduced the percentage of lesions progressing beyond the papular stage (p less than 0.05). Acyclovir cream is well tolerated and effective for the treatment of recurrent herpes labialis.

The spc ribosomal protein operon of Escherichia coli: sequence and cotranscription of the ribosomal protein genes and a protein export gene

The genes encoding the 52 ribosomal proteins (r-proteins) of Escherichia coli are organized into approximately 19 operons scattered throughout the chromosome. One of these, the spc operon, contains the genes for ten ribosomal proteins: L14, L24, L5, S14, S8, L6, L18, S5, L30 and L15 (rp1N, rp1X, rp1E, rpsN, rpsH, rp1F, rp1R, rpsE, rpmD, and rp1O). We now report the entire 5.9 kb nucleotide sequence of the spc operon. DNA sequence analysis has confirmed the genetic organization and refined the amino acid sequence of the ten r-proteins in this operon. It has also revealed the presence of two open reading frames past the last known gene (L15) of the spc operon. One of these corresponds to a gene (pr1A or secY) which recently has been shown by others to be involved in protein export. In addition, S1 mapping experiments indicate that a significant proportion of transcription initiated from the spc operon continues not only into the two putative genes, but also without termination into the downstream alpha r-protein operon.

Phase I trial of Staphylococcus aureus Cowan I immunoperfusion

Staphylococcus aureus Cowan I has shown antitumor activity in in vitro and in animal tumor models. It is hypothesized that this antineoplastic effect results from the interaction of protein A on the cell surface of Cowan I strain S. aureus and immunosuppressive circulating immune complexes. Therefore, we treated five patients with ex vivo plasma immuno-perfusion over killed and fixed S. aureus Cowan I. Toxic effects were marked in all patients and appeared to be related to the plasma volume infused and rate of infusion. Toxic reactions occurred in the cardiovascular, respiratory, and hematopoietic systems. No responses even minimal or transient, were observed in this phase I trial. This toxicity may be reduced if the rate of plasma infusion decreases.

Identification of ribosomal protein S7 as a repressor of translation within the str operon of E. coli

A DNA-directed in vitro protein-synthesizing system was used to demonstrate that r protein S7 has the capacity to inhibit the translation of mRNA for the second and third gene products of the str operon (S7 and EF-G) but not for the first gene product (S12). Translation of mRNA of the last gene product in the operon (EF-Tu) is also probably not inhibited by S7. In addition, we localized the target site for S7 repressor action on the polycistronic str mRNA by examining the repressor activity of S7 in vitro using various template DNAs that contain the gene. The target site was found not to include a promoter-proximal portion of the mRNA for S12. To test for regulatory properties of S7 in vivo, we inserted the S7 gene into a plasmid vector containing the ara regulatory elements such that S7 synthesis was placed under ara control. A specific increase in S7 synthesis caused by stimulation in transcription originating from the arabinose promoter decreased the synthetic rate for EF-G but had no effect on S12 or EF-Tu synthesis.

Escherichia coli ribosomal protein S8 feedback regulates part of spc operon

In Escherichia coli the genes coding for the 52 ribosomal proteins (r-proteins) are organized into a number of transcription units located at various regions on the bacterial genome. The expression of r-protein genes is balanced so that individual r-protein synthesis rates change coordinately in response to changing environmental conditions, and significant amounts of free r-proteins do not exist in the cellular pool. We have suggested a model for the balanced regulation of r-protein gene expression, namely that r-protein synthesis and ribosome assembly are coupled so that r-proteins not incorporated into ribosomes prevent the further translation of r-protein mRNA by a feedback regulatory mechanism. The model was tested in vitro by examining the effect of purified r-proteins on DNA directed r-protein synthesis, and in vivo by examining the effect of overproduction of certain r-proteins on the synthesis rates of other r-proteins. In vitro experiments have revealed that some r-proteins (L1, L4, L10, S4 and S8) can selectively inhibit the synthesis of r-proteins whose genes are in the same operon as their own, and that this specific feedback regulation occurs at the level of translation rather than at the level of transcription of mRNA. Regulatory roles for L1, S4 and L4 have also been established by in vivo experiments. We have studied further the feedback regulatory properties of S8 in vivo and in vitro, and report here that the protein regulates a part of the spc operon.

Feedback regulation of ribosomal protein gene expression in Escherichia coli: structural homology of ribosomal RNA and ribosomal protein MRNA

Certain ribosomal proteins (r proteins) in Escherichia coli, such as S4 and S7, function as feedback repressors in the regulation of r-protein synthesis. These proteins inhibit the translation of their own mRNA. The repressor r proteins so far identified are also known to bind specifically to rRNA at an initial stage in ribosome assembly. We have found structural homology between the S7 binding region on 16S rRNA and a region of the mRNA where S7 acts as a translational repressor. Similarly, there is structural homology between one of the reported S4 binding regions on 16S rRNA and the mRNA target site for S4. The observed homology supports the concept that regulation by repressor r proteins is based on competition between rRNA and mRNA for these proteins and that the same structural features and of the r proteins are used in their interactions with both rRNA and mRNA.

Feedback regulation of ribosomal protein gene expression in Escherichia coli

The structural genes for Escherichia coli ribosomal protein (r-protein) genes L1, S4, and S11 were inserted into a plasmid vector containing the lac operator and promoter such that the synthesis of L1, S4, and S11 was controlled by lac regulatory elements. Synthesis of L1, S4, and S11 was stimulated by addition of an inducer of the lac operon (isopropyl thiogalactoside) to exponentially growing cells. Elevated synthesis of L1 caused a specific decrease in L11 synthesis, whereas overproduction of S4 resulted in lowered synthesis of S13 and L17. Stimulation of L1 or S4 synthesis also inhibited cell growth. Overproduction of S11 did not affect synthesis of other r-proteins or alter growth. These results confirm previous in vitro studies [Yates, J. L., Arfsten, A. E. & Nomura, M. (1980) Proc. Natl. Acad. Sci. USA 77, 1837-1841] and support the hypothesis that certain r-proteins have the capacity to selectively inhibit synthesis of r-proteins whose genes are in the same operon as their own.